﻿@model DICOM_PROJECT.Models.VisitUpdateModel

<div id="updateVisitForm" class="form">
    <div class="form-content">
        <div class="row form-heading">
            <div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
                <h3 class="form-heading-title">Visit Detail</h3>
            </div>
        </div>
        <div class="row form-body">
            <div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
                <div id="updateVisitVM">
                    <div class="row form-row">
                        <div class="col-lg-4 col-md-4 col-sm-4 col-xs-4">@Html.LabelFor(model => model.VisitID)</div>
                        <div class="col-lg-8 col-md-8 col-sm-8 col-xs-8">@Html.TextBoxFor(model => model.VisitID, new { @class = "form-control", @data_bind = "value: VisitID, disable: true" })</div>
                    </div>
                    <div class="row form-row">
                        <div class="col-lg-4 col-md-4 col-sm-4 col-xs-4">@Html.LabelFor(model => model.PatientID)</div>
                        <div class="col-lg-8 col-md-8 col-sm-8 col-xs-8">@Html.TextBoxFor(model => model.PatientID, new { @class = "form-control", @data_bind = "value: PatientID, disable: true" })</div>
                    </div>
                    <div class="row form-row">
                        <div class="col-lg-4 col-md-4 col-sm-4 col-xs-4">@Html.LabelFor(model => model.PatientName)</div>
                        <div class="col-lg-8 col-md-8 col-sm-8 col-xs-8">@Html.TextBoxFor(model => model.PatientName, new { @class = "form-control", @data_bind = "value: PatientName, disable: true" })</div>
                    </div>
                    <div class="row form-row">
                        <div class="col-lg-4 col-md-4 col-sm-4 col-xs-4">@Html.LabelFor(model => model.CreateDoctorID)</div>
                        <div class="col-lg-8 col-md-8 col-sm-8 col-xs-8">@Html.TextBoxFor(model => model.CreateDoctorID, new { @class = "form-control", @data_bind = "value: CreateDoctorID, disable: true" })</div>
                    </div>
                    <div class="row form-row">
                        <div class="col-lg-4 col-md-4 col-sm-4 col-xs-4">@Html.LabelFor(model => model.CreateDoctorName)</div>
                        <div class="col-lg-8 col-md-8 col-sm-8 col-xs-8">@Html.TextBoxFor(model => model.CreateDoctorName, new { @class = "form-control", @data_bind = "value: CreateDoctorName, disable: true" })</div>
                    </div>
                    <div class="row form-row">
                        <div class="col-lg-4 col-md-4 col-sm-4 col-xs-4">@Html.LabelFor(model => model.CreateDate)</div>
                        <div class="col-lg-8 col-md-8 col-sm-8 col-xs-8">@Html.TextBoxFor(model => model.CreateDate, new { @class = "form-control", @data_bind = "value: CreateDate, disable: true" })</div>
                    </div>
                    <div class="row form-row">
                        <div class="col-lg-4 col-md-4 col-sm-4 col-xs-4">@Html.LabelFor(model => model.UpdateDoctorID)</div>
                        <div class="col-lg-8 col-md-8 col-sm-8 col-xs-8">@Html.TextBoxFor(model => model.UpdateDoctorID, new { @class = "form-control", @data_bind = "value: UpdateDoctorID, disable: true" })</div>
                    </div>
                    <div class="row form-row">
                        <div class="col-lg-4 col-md-4 col-sm-4 col-xs-4">@Html.LabelFor(model => model.UpdateDoctorName)</div>
                        <div class="col-lg-8 col-md-8 col-sm-8 col-xs-8">@Html.TextBoxFor(model => model.UpdateDoctorName, new { @class = "form-control", @data_bind = "value: UpdateDoctorName, disable: true" })</div>
                    </div>
                    <div class="row form-row">
                        <div class="col-lg-4 col-md-4 col-sm-4 col-xs-4">@Html.LabelFor(model => model.UpdateDate)</div>
                        <div class="col-lg-8 col-md-8 col-sm-8 col-xs-8">@Html.TextBoxFor(model => model.UpdateDate, new { @class = "form-control", @data_bind = "value: UpdateDate, disable: true" })</div>
                    </div>
                    <div class="row form-row">
                        <div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">@Html.LabelFor(model => model.Symptom)</div>
                    </div>
                    <div class="row form-row">
                        <div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">@Html.TextAreaFor(model => model.Symptom, new { @class = "form-control", @data_bind = "value: Symptom" })</div>
                    </div>
                    <div class="row form-row">
                        <div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">@Html.LabelFor(model => model.Diagnosis)</div>
                    </div>
                    <div class="row form-row">
                        <div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">@Html.TextAreaFor(model => model.Diagnosis, new { @class = "form-control", @data_bind = "value: Diagnosis" })</div>
                    </div>
                    <div class="row form-row">
                        <div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">@Html.LabelFor(model => model.Treatment)</div>
                    </div>
                    <div class="row form-row">
                        <div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">@Html.TextAreaFor(model => model.Treatment, new { @class = "form-control", @data_bind = "value: Treatment" })</div>
                    </div>
                    <div class="row form-row">
                        <div class="col-lg-6 col-md-6 col-sm-6 col-xs-6 button-left">
                            <div id="update-visit-save" class="btn btn-primary">Save</div>
                        </div>
                        <div class="col-lg-6 col-md-6 col-sm-6 col-xs-6 button-right">
                            <div id="update-visit-cancel" class="btn btn-default">Cancel</div>
                        </div>
                    </div>
                </div>
            </div>
        </div>
    </div>
</div>


